MALLORIE HOGAN

FOLSOM, CA
NPI1164188900
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95018019)
Enumeration Date2021-11-16
Last Update Date2021-11-16
Business Address
Miss MALLORIE HOGAN FNP-BC
1631 CREEKSIDE DR
FOLSOM, CA 95630-3820
Phone number: 916-250-0377
Mailing Address
Miss MALLORIE HOGAN FNP-BC
10531 SILVERWOOD WAY
RANCHO CORDOVA, CA 95670-5533
Phone number: 916-662-0020